Case Presentation: A 70 year old female with recently diagnosed right sacroiliitis presented with worsening right hip pain. Five months prior to admission, patient was hospitalized at an outside hospital for right hip pain and fevers. Imaging was suggestive of sacroiliitis. Cultures were negative for pathogens and biopsy showed inflammation. Patient was diagnosed with likely [...]

Background: The process by which patients are admitted to the inpatient setting after evaluation in the emergency department (ED) is a critical component of their care transition. Striking the proper balance between the speed of the process and the quality of the communication is paramount to optimizing workflows and ensuring patient safety. At our institution, [...]

Case Presentation: A 28-year old Vietnamese man who has sex with men (MSM) with recent diagnosis of AIDS, on antiretroviral therapy (ART), presented to the hospital with 1 month of fevers associated with headaches, night sweats, anorexia, and diarrhea. He was born in Vietnam but moved to the United States 2 years prior to presentation [...]

Case Presentation: A 33-year-old man with a history of human immunodeficiency virus (HIV, 2007, well-controlled on antiretrovirals) and recent rectal chlamydia (on routine screening) presented to the emergency department (ED) with a five-day history of profuse rectal bleeding, pain, and tenesmus; preceded by a prodrome of fever, myalgias, productive cough, and a painful papular skin [...]

Case Presentation: A 45 year old female with history of psoriatic arthritis and renal transplant from a living unrelated donor (performed in the Philippines in 2014) presented with symptoms of fever, fatigue, weakness, tremors, epigastric pain, and loose stools. At the time of presentation, she had recently completed three cycles of plasmapharesis/IVIG and one cycle [...]

Case Presentation: A 43-year-old male from Guatemala with a history of alcohol abuse, brief incarceration and nephrolithiasis presented to the emergency room with abdominal pain and bloody diarrhea. He was found to have a psoas abscess and subsequently underwent radiologic aspiration and drainage of the lesion. Given the unusual intraosseous features on imaging, the patient [...]

Case Presentation: A 57-year-old Honduran male with no past medical history presented with two weeks of recurrent fevers, dyspnea, bilateral blurred vision, and pain in his low back, flank, and abdomen. Chest X-ray revealed a round opacity over the right lower lung. CT chest, abdomen, and pelvis showed patchy consolidation in the right lower lobe [...]

Case Presentation: 47 year old male with left temporal meningioma s/p resection, and recent immigration from India presented with fevers and worsening encephalopathy. CTH was unremarkable however MRI showed leptomeningeal hemispheric, brain stem, and cord signal with perivascular enhancement concerning for CNS TB however included a broad differential. He was started on empiric antibiotics for [...]

Case Presentation: 54-year-old female with history of anemia and fibroids presented with progressive dyspnea, generalized weakness, weight loss, and worsening abdominal pain and distention. Four months prior, patient presented similarly and was diagnosed with peritoneal carcinomatosis with an unclear primary. A positive Quantiferon TB was also noted on that admission. She emigrated from Jamaica in [...]

Case Presentation: A 40-year-old immigrant from Bangladesh with a history of uveitis presented to the emergency department for evaluation of abdominal pain. He first developed fevers 10 days prior to admission, when he was visiting his hospitalized mother in Bangladesh. He subsequently noticed increased abdominal girth and returned to the United States for additional evaluation. [...]